Organization Active NPI

Consulting Psychologists Associates PA

  • Cognitive & Behavioral Psychologist
  • Saint Paul, MN
National Provider Identifier
1740559699
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
LP1135 Issued in MN
Legal business name
CONSULTING PSYCHOLOGISTS ASSOCIATES PA
Practice address
2870 Highview Ter
Saint Paul, MN 55121-1110
Phone
(651) 225-0854
NPI assigned
Dec 22, 2011
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bruce Keith Thordal, PHDNPI 1417091455
Title
Executive Director
Phone
(651) 225-0854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X LP1135 MN Primary

Addresses

Primary practice location

2870 Highview Ter
Saint Paul, MN 55121-1110

Mailing address

2870 Highview Ter
Eagan, MN 55121-1110
Phone (651) 225-0854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120413000483 MN Part B Supplier - Clinic/Group Practice 5597926832 Receives reassigned benefits from 1 practitioner
Practice locations: Eagan, MN

National Provider Directory

National Provider Directory

Locations

501 Dale St N
#213
Saint Paul, MN 55103

501 Dale St N
Ste 213
Saint Paul, MN 55103
Phone (651) 225-0854

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1740559699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 HIGHVIEW TER",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211110",
            "telephone_number": "651-225-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 HIGHVIEW TER",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551211110",
            "telephone_number": "651-225-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTING PSYCHOLOGISTS ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "THORDAL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-225-0854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MN",
            "license": "LP1135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.